Individual
MS. TERI LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
69 CORLEY DR, ROCHESTER, NY 14622-1262
(585) 278-6504
(585) 319-3384
Mailing address
69 CORLEY DR, ROCHESTER, NY 14622-1262
(585) 278-6504
(585) 319-3384
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
180987
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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